Registration Form: BACDS English Week 2006

BACDS English Dance Week 2006
Registration Form

Please print out this form and send it along with your check (made out to BACDS) to:
BACDS
c/o Luckhardt
920 32nd Street
Richmond 94804

For further information about registration, call (510) 233-5065, or e-mail mary@luckhardt.com.

Please send a $125 deposit along with all scholarship applications.
All applications postmarked by March 20th will be deemed to have arrived on that date.
Please send one registration form per person.

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BACDS English Dance Week 2006 Registration Form
Name
Street Address
City, State, ZIP
Home Phone
Work Phone
Email Address

Please check ONE:

	Male
	Female
	Couple (I will attend only if attends)

**Check all that apply:**
I would like to room with
I am a smoker (for room assignments).
I would like vegetarian meals.
I medically require a special diet.
I can offer a ride to camp.
Please help me find a ride.
I would like to apply for a work scholarship.

**Do not print in the camp roster:**
My name (leave me off the roster entirely)
My email
My address
My phone

**Enclosed is:**
$730 full tuition
$125 deposit (Please send a deposit along with all scholarship applications.)
I enclose a tax-deductible gift to BACDS for $____________.

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We hope to see you at camp this year!
For more information, call camp manager Mary Luckhardt
at (510) 233-5065 or email mary@luckhardt.com

BACDS English Week Logo

BACDS English Dance Week 2006 Registration Form

BACDS English Dance Week 2006
Registration Form